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2022-07-05 Ex 06``�y.Of•OKEF�h - T 1111ty of Okeechobee o -o Memo • � 91 Date: for July 5th meeting TO: Mayor and City Council FR: Gary Ritter, City Administrator and India Riedel, Finance Director RE: PRM Group Health Insurance The City's current premium structure for plan 0727: Employee Only $ 937.25 Empl & Spouse $2,339.88 Empl & child(ren) $1,871.02 Empl Family $2,984.56 Exhibit 6 7/5/2022 The City's' claim experience based on the rates from the last seven month period beginning October 1, 2022 continues to be stable. The medical claims to date have not included any large claims (i.e. $150,000 or more) which can severely impact a municipality our size. With the application of the City's claims experience rating, the renewal premium for FY 2021- 2022 is at 4% increase, which is the same for PRM Group of 4%. The fiscal impact based on the number of employees equates to a $25,865 for the renewal. Additional Offerings: Health Savings Account plan options 05180 and 05181 offers added benefits to the City as well as the employee. These options could potentially decrease the City's future claims as the employee would be responsible for the first $2,500 in medical cost, therefore reducing payout of claims. The HSA account is partially funded from the difference in the premiums that the City would be paying from the 0727 plan. The HSA dollars if not used roll over to the next year, and the next. The other major benefit is the employee is more in charge of his/her health care and cost. There is an added administrative cost for the HSA per month per employee who select the plan ($2.70 a month). Public Risk Management (PRM) has been looking at options for retirees who are Medicare Eligible. Florida Blue is offering 2 Medicare supplements that we can offer these individuals at a substantial savings. These are options and are not mandatory. BlueMedicare Elite PPO $339.43 BlueMedicare Platinum PPO $322.93 We are continuing to take a long term approach regarding the health of its employees by continuing the current benefits as well as adding plan options in addition to the Clinic. 1 I Page %-,ity of Okeechobee Memo Current PPO plan, 0727 City Cost Deduction Premium Per Employee per Employee per Month Pay Check Employee Only $974.74 $974.74 $0.00 Add'l for Spouse $1,458.73 $150.00 $604.03 Add'I for Child (ern) $971.12 $150.00 $378.98 Add'I for Family $2,129.20 $150.00 $913.48 H SA 5810/5181 City Cost Deduction Premium Per Employee per Employee per Month Pay Check Employee Only $843.33 $974.74 $0.00 Add'I for Spouse $1,262.18 $150.00 $513.32 Add'I for Child ern $840.19 $150.00 $318.55 Add'I for Family $1,842.30 $150.00 $781.07 Medicare Plans Elite Platinum Eligible Retirees $339.43 $322.93 2 1 P a g e PUBLIC RISK MANAGEMENT BLUEOPTION MEDICAL COMPARISON EFFECTIVE OCTOBER 1, 2022 Plan Year Deductibles Individual/Family In -Network Out -of -Network Coinsurance (When Applicable) In -Network Out -of -Network Out of Pocket Maximum In -Network Out -of -Network Professional Provider Services PCP Office Visits Specialist Office Visit Out -of -Network Teladoc Visits Out -of -Network Preventative Care Visits Out -of -Network Hospital Services Inpatient Hospitalization Out -of -Network Outpatient Hospitalization Out -of -Network Urgent Care Center Out -of -Network Emergency Room Out -of -Network Lab (Blood In -Network , MRA, CT and PET Facility In -Network Out -of -Network Prescription Drugs Tier 1 Tier 2 Tier 3 Mail Order Pharmacy Out -of -Network $500 / $1,500 $2500/$5000 Combined with In- $5000/$10,000 Network 20% I 0% 40% 20% of Allowed Amount $1,500 / $4,500 I $2500/$5000 Combined with In- $10,000/$20,000 Network $15 Deductible $15 Deductible 40% Ater Deductible 20% After Deductible Visit 1-4 $0, 5+ $10 Deductible N/A N/A $0 $0 40% 20% after deductible 20% After Deductible Deductible $300 PAD, 40% after Not Covered 20% After Deductible Deductible 40% Ater Deductible Not Covered $15 Deductible $15 Deductible 20% after deductible Deductible 20% after deductible Deuctible 20% I Deductible 40% 20% After Deductible $ 15.00 40% After deductible $5 $35 $35 $10/$70/$70 50% of allowance Deductible After Deductible Deductible Deductible Deductible 50% After Deductible 2022-2023 Health Plans Comparison